Evidence map›Paper›PMID 27316439›Full record

SynthesisMusculoskeletal surgery2016

Reverse total shoulder arthroplasty for the management of fractures of the proximal humerus: a systematic review.

U G Longo, S Petrillo, A Berton, V Denaro

Abstract readSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Musculoskeletal surgery, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

32 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Review
  5. Article
  6. Osteoporosis Management for Shoulder Surgeons.Current reviews in musculoskeletal medicine · 2024
    Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Shoulder arthroplasty for proximal humeral fracture treatment: a retrospective functional outcome analysis.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2023
    Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

U G LongoDepartment of Orthopaedic and Trauma Surgery, University Campus Bio-Medico of Rome, Via Álvaro Del Portillo, 200, 00128, Trigoria, RM, Italy. g.longo@unicampus.it.
S PetrilloDepartment of Orthopaedic and Trauma Surgery, University Campus Bio-Medico of Rome, Via Álvaro Del Portillo, 200, 00128, Trigoria, RM, Italy.
A BertonDepartment of Orthopaedic and Trauma Surgery, University Campus Bio-Medico of Rome, Via Álvaro Del Portillo, 200, 00128, Trigoria, RM, Italy.
V DenaroDepartment of Orthopaedic and Trauma Surgery, University Campus Bio-Medico of Rome, Via Álvaro Del Portillo, 200, 00128, Trigoria, RM, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Reverse total shoulder arthroplasty (RTSA) represents a good solution for the management of patients with fracture of the proximal humerus with associated severe osteoporosis and RC dysfunction. A systematic review of the literature according to the PRISMA guidelines was performed matching the following keywords: "reverse total shoulder arthroplasty"; "reverse total shoulder prostheses"; "fractures"; "fracture of the proximal humerus." Medline, EMBASE, Google Scholar, and Ovid database have been screened. Ten studies were considered in the qualitative analysis. No randomized prospective controlled trials have been found. A total of 256 patients received a RTSA for the management of fracture of the proximal humerus. There were 28 males (10.8 %) and 228 females (89.2 %). The mean age of patients was 75.5 ± 2.2 years (range 70-78 years). The mean follow-up period was 27.8 ± 21.8 months range (6-86 months). Overall, the mean Constant score was 56.7 ± 7.6 points (range 44-67.8 points), the mean DASH score was 39.9 ± 6 points (range 31.5-46.8 points), the ASES averaged 70.3 ± 6.8 points (range 65-78 points), and the OSS averaged 28.7 points (range 15-56 points). RTSA restores function and relieves pain in patients with proximal humeral fractures. However, no randomized controlled trials are available to support RTSA versus osteosintesis, anatomical prostheses or hemiarthroprotesis. Further studies are needed to evaluate the effectiveness of RTSA in the management of fracture of the proximal humerus.

Indexed as

AgedArthroplasty, Replacement, ShoulderEquipment DesignFemaleFollow-Up StudiesHumansMaleOsteoporosisPeripheral Nerve InjuriesPostoperative ComplicationsRange of Motion, ArticularRecovery of FunctionRotator Cuff InjuriesScapulaSeverity of Illness IndexShoulder FracturesFractures proximal humerusReplacementReverse total shoulder arthroplastyShoulder

Identifiers

PMID27316439

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.